You are all well aware of the toll that HD and S take on our nation.
In addition to the work that we know we need to and can do related to prevention of the risk factors for HD and S- we also know that when it comes to delivering key clinical preventive services, we don’t do well. As Dr. Frieden likes to state, when it comes to the ABCS of HD, we get an “F”
The initiative is a simple – but elegant initiative. On the clinical preventive side – Focus everyone on ABCS Use Health IT Foster Care innovations – there are many places that are not failing at the ABCS – looks like they deliver care in a slightly different model. Community side Many things we can do to make our communities more supportive of heart health – tobacco, PA, nutrtion, - community supports for improvement in the ABCS
Providing education and resources to help reduce fat and salt intake, increase exercise, lose weight, stop smoking, or increase medication adherence (e.g., to improve control of high blood pressure) Using GPS technology to recommend nearby walks or places to eat healthier Recommending to the high risk patient to see a primary care doctor if not on aspirin or cholesterol-lowering medication Linking to online communities dedicated to improving heart health
One In A Million Hearts Challenge Webinar Presentation Wednesday, October 26
On today’s call: Wil Yu JL Neptune Janet Wright Leah MarcotteSpecial Assistant Senior Vice Executive Meaningful Use of Innovations President Director Team and Research ONC Health 2.0 Million Hearts ONC
Agenda for Today’s MeetingONC and the Investing in Innovation (i2)ProgramAn Introduction to the One In A MillionHearts ChallengeQ&A About the Challenge
i2 – Investing in InnovationsWil YuWil.Yu@HHS.govAdam WongOffice of the National Coordinator 5
i2 Goals• Better Health, Better Care, Better Value through Quality Improvement – Further the mission of the Department of Health and Human Services – Highlight programs, activities, and issues of concern• Spur Innovation and Highlight Excellence – Motivate, inspire, and lead• Community building – Development of ecosystem• Stimulate private sector investment 6
What is Million Hearts?• Goal: Prevent 1 million heart attacks and strokes over the next 5 years• Engage public and private sector partners in a coordinated approach to: – Reduce the number of people who need treatment – Improve the quality of treatment for those who need it – Maximize current investments in cardiovascular health
Heart disease and strokes are leading killers in the U.S. • Cause 1 of every 3 deaths • More than 2 million heart attacks and strokes occur every year; 800,000 die – Leading cause of preventable death among people <65 • Treatment accounts for about $1 of every $6 spent on health care • Accounts for the largest single portion of racial disparities in life expectancy
Status of the ABCSAspirin People at increased risk of cardiovascular 47% disease who are taking aspirinBlood People with hypertension who have 46% adequately controlled blood pressurepressureCholesterol People with high cholesterol who have 33% adequately controlled hyperlipidemiaSmoking People trying to quit smoking who get help 23%Source: MMWR: Million Hearts: Strategies to Reduce the Prevalence of Leading Cardiovascular Disease Risk Factors --- United States, 2011, Early Release, Vol. 60
Key components of Million Hearts• Clinical Prevention – improving care of the ABCS through: – Focus – simplify and align quality measures; emphasize importance of improved care of the ABCS – Health IT – use electronic health records to improve care and enable quality improvement through clinical decision support, patient reminders, registries, and technical assistance – Care innovations – team-based care, interventions to promote medication adherence• Community prevention – reducing the need for treatment through: – Prevention of tobacco use – Improved nutrition – decrease sodium and artificial trans fat consumption
Clinical prevention Focus on ABCS• Improving management of ABCS can prevent more deaths than other clinical preventive services• Increasing utilization of these simple interventions could save more than 100,000 lives a year – Patients reduce risk of heart attack or stroke by taking aspirin as appropriate – Treating high blood pressure and high cholesterol substantially and quickly reduces mortality among high-risk patients – Even brief smoking cessation advice from clinicians doubles likelihood of successful quit attempt – use of cessation medications increases quit rates further
The Challenge:“Develop an application that activatesand empowers patients to get healthy and improve their heart health”•These apps should use evidenced based resources to help improvecardiovascular health with a particular focus on the ABCS.•Apps should incorporate patient-entered data and provided targetedrecommendations.•Examples include: education and resources to improve on ABCs, directingusers to heart healthy activities and places to eat, and linking to onlinecommunities.
Improved cardiovascular care could save 100,000 lives/year in the U.S. Blood Pressure control Cholesterol control Smoking cessation Aspirin prophylaxisSource: Farley TA, et al. Am J Prev Med 2010;38:600-9.
Resources•Million Hearts•American Heart Association (AHA)•AHA Risk Assessment “My Life Check”•CDC•SmokeFreeGov•National Heart, Blood, and Lung Institute•U.S. Preventive Services Task Force
Judging Criteria1. Patient engagement2. Quality and accessibility of information and resources3. Targeted and actionable information4. Innovativeness and Usability5. Platform NeutralityBonus points will be awarded for creating both English and Spanish versions
TimelineSubmission Period Ends 12-31-11 Winner Notified 01-20-12
For More Informationhttp://www.health2challenge.org Contact Jean-Luc Neptune: firstname.lastname@example.org